Healthcare Provider Details

I. General information

NPI: 1689665291
Provider Name (Legal Business Name): JAMES S BROOKS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5790 SNOWSHOE CIR
BLOOMFIELD MI
48301-1947
US

IV. Provider business mailing address

PO BOX 250457
FRANKLIN MI
48025-0457
US

V. Phone/Fax

Practice location:
  • Phone: 248-356-7772
  • Fax: 248-356-7779
Mailing address:
  • Phone: 248-356-7772
  • Fax: 248-356-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number4301403985
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: